CultivatingExcellenceNational Conference of State Flex ProgramsJuly 23-24, 2013Bethesda, MarylandDoubleTree Hotel by Hilton BethesdaThe 2013 National Conference of State Flex Programs marks the 14th yearthat state Flex programs have convened to share information about theMedicare Rural Hospital Flexibility (Flex) Program and critical accesshospitals. This conference will focus on sharing the latest information andissues in the Flex program including states sharing stories of theirexperiences and successes for continued program growth.The conference sessions will highlight Cultivating Excellence within theFlex program for continued quality improvement, financial and operationalimprovement, and health system development.
Tuesday, July 23, lroom AB FoyerWelcome8:30am—9:00amCultivating the Flex ProgramBallroom ABMichael McNeely, MBA, MPH, CPHIT, Deputy Director,Hospital-State Division, Federal Office of Rural HealthPolicyTom Morris, MPA, Associate Administrator for RuralHealth Policy, Federal Office of Rural Health Policy,Health Resources and Services AdministrationBallroom ABMichael McNeely, MBA, MPH, CPHIT, Deputy Director,Hospital-State Division, Federal Office of Rural HealthPolicyKristi Martinsen, MPM, Director, Hospital-StateDivision, Federal Office of Rural Health Policy Learn the current expectations of state Flex grantees andthe future of the Flex program to continue cultivatingexcellenceBreak10:15am—10:30amRural Health Reform KeynoteThe Triple Aim for Critical Access Hospitals10:30am—11:15am9:00am—9:45amClint MacKinney, MD, MS, Deputy Director, RUPRICenter for Rural Health Policy AnalysisBallroom ABCarol Beasley, MPPM, Vice President, Institute forHealthcare ImprovementBallroom AB Understand the application and impact of health reformin rural America and CAHs Review the Triple Aim and its overall strategy Discover how the Triple Aim directly impacts the careprovided in rural America Learn about the Rural Health Systems Analysis andTechnical Assistance (RHSATA) project Understand how the Triple Aim aligns with the newhealth care environment in CAHs Determine activities for state Flex programs aroundhealth reform initiatives Learn resources available from the Institute forHealthcare Improvement for use by state Flex programs Learn resources available to assist state Flex programsand CAHs on health reformRural Health Reform Models Panel11:15am—12:15 pmBallroom ABLance Keilers, MBA, CAPPM, EFPM, President,Connected Healthcare Solutions, LLCBrock Slabach, MPH, FACHE, Senior Vice President forMember Services, National Rural Health AssociationJohn Supplitt, MPA, MBA, Senior Director, Section forSmall or Rural Hospitals, American Hospital Association Learn about the issues and implications of health reformfrom the perspectives of a facility, provider, patient andcommunity
Lunch—On Your Own12:15pm—1:45pmOptional Federal Office of Rural Health PolicyListening Sessions1:00pm—1:45pmBallroom ABBreakout Session #1A. Care Transitions and Patient Safety SmallGroup Discussion Jasmine RoomFacilitated by Kami Norland, MA, CommunitySpecialist, National Rural Health Resource Center Using Medicare Beneficiary QualityImprovement Project (MBQIP) Data1:45pm—2:45pmBallroom ABMegan Meacham, MPH, Public Health Analyst, FederalOffice of Rural Health PolicyMichelle Casey, MS, Deputy Director and SeniorResearch Fellow, University of Minnesota Rural HealthResearch Center, Flex Monitoring TeamReceive a MBQIP update, including information onPhases I and II, and plans for Phase III Review the process for regional data analysis Learn about state Flex program use of MBQIP data Attain Flex Monitoring Team resources to address keyquality measures Participate in an activity to compare and use MBQIP datareports within regionsDiscuss the importance and relevance of caretransitions and patient safety for state Flexprograms, including state sharing of best practicesB. Performance Improvement to ImpactQuality Small Group Discussion Juniper RoomFacilitated by Margo Kulseth, MLIS, InformationSpecialist, National Rural Health Resource Center Paul Moore, DPh, Senior Health Policy Advisor, FederalOffice of Rural Health Policy 2:55pm—3:40pmDiscuss the importance and relevance ofperformance improvement to impact quality forstate Flex programs, including state sharing of bestpracticesC. Medical Home and Rural Accountable CareOrganization Initiatives Small GroupDiscussion Ballroom ABFacilitated by Terry Hill, MPA, Executive Director,National Rural Health Resource Center Discuss the importance and relevance of medicalhome and rural accountable care organizations forstate Flex programs, including state sharing of bestpracticesPRESENTATIONS AVAILABLE AT:http://goo.gl/NXZnO
Breakout Session #23:50pm—4:35pmA. Improving Performance on the EmergencyDepartment AMI and Outpatient SurgicalCare Quality MeasuresJasmine RoomC. Critical Access Hospital Leadership PanelDiscussionBallroom ABDave Palm, PhD, Director, Nebraska Office of RuralHealthSusan Starling, RN, MSN, Chief Executive Officer,Marcum and Wallace Memorial Hospital, KentuckyMichelle Casey, MS, Deputy Director and SeniorResearch Fellow, University of Minnesota RuralHealth Research Center, Flex Monitoring TeamJohn Supplitt, MPA, MBA, Senior Director, Section forSmall or Rural Hospitals, American HospitalAssociationBev McCollough, RN, MBA, CPHQ, QualityImprovement Director, Washington RuralHealthcare Quality Network Understand the evidence base for the EmergencyDepartment AMI/chest pain and outpatient surgicalcare improvement quality measuresUnderstand the importance of CAH leadership inhealth reform, quality improvement initiatives,engagement of facility and community leaders, anddevelopment of innovative models Review CAH performance on these measures Learn successful state initiatives to improveperformance on these quality measuresB. Creative Network SolutionsJuniper RoomUpcoming Critical Access Hospital RecognitionCertificate Opportunity, Announcements andAdjourn Day One4:45pm—5:15pmBallroom ABPat Schou, MS, FACHE, Executive Director, IllinoisCritical Access Hospital NetworkLeticia Manning, MPH, Public Health Analyst,Community Based Division, Federal Office of RuralHealth Policy Review the importance of creative network solutionsand the relevance to state Flex programs Learn resources available from the Federal Office ofRural Health Policy relevant to CAH networks Hear state sharing of networking best practicesWednesday, July 24, 2013Welcome and Day One Recap8:30am—8:40amBallroom ABMichael McNeely, MBA, MPH, CPHIT, Deputy Director,Hospital-State Division, Federal Office of Rural HealthPolicyCritical Access Hospital Finance Basics in the NewHealth Care Environment8:40am—9:25amBallroom ABRalph Llewellyn, CPA, CHFP, Partner, Eide Bailly, LLP Review the top ten CAH financial indicators of successfrom the 2012 CAH Financial Leadership Summit Hear interventions state Flex programs could use toimprove CAH financial performance
Using the Flex Monitoring Team Annual CriticalAccess Hospital Financial Indicators Report9:25am—10:10amB. Financial Improvement Network ActivitiesSmall Group Discussion Juniper RoomBallroom ABFacilitated by Tracy Morton, MPH, Program Manager,National Rural Health Resource CenterGeorge Pink, PhD, Senior Research Fellow, NorthCarolina Rural Health Research and Policy AnalysisCenter, University of North Carolina-Chapel Hill Review how state Flex programs can use the annual CAHFinancial Indicators Report Learn about Flex Monitoring Team resources to addresskey financial measures Participate in an activity to compare CAH financial dataBreak C. Quality Improvement Network Activities SmallGroup Discussion Ballroom ABFacilitated by Sally Buck, MS, Associate Director,National Rural Health Resource Center 10:10am—10:25amBreakout Session #310:25am—11:05amA. Introduction to the Baldrige PerformanceExcellence Framework Jasmine RoomTerry Hill, MPA, Executive Director, National RuralHealth Resource Center Understand the importance of quality andperformance excellence in CAHs Learn how a framework, such as Baldrige, cansupport CAHs in achieving performance excellenceDiscuss the importance and relevance of financialimprovement networks for CAHs, including statesharing of best practicesDiscuss the importance and relevance of qualityimprovement networks for CAHs, including statesharing of best practicesThe Impact of Community Health NeedsAssessments11:15am—11:45amBallroom ABKami Norland, MA, Community Specialist, National RuralHealth Resource CenterJohn Gale, MS, Research Associate, Maine Rural HealthResearch Center, University of Southern Maine, FlexMonitoring Team Understand the fundamental importance of communityhealth needs assessments to the CAH and the community Review the relationship of community health needsassessments to all core areas of the Flex program Discover how state Flex programs are using communityhealth needs assessments Learn about recent research available from the FlexMonitoring Team on community health needs assessmentsLunch—On Your Own11:45am—1:15pm
Breakout Session #41:15pm—2:00pmA. Managing Contracts and Deliverables —Focused Conversation Jasmine RoomFacilitated by Sally Buck, MS, Associate Director,National Rural Health Resource Center Discuss the importance and relevance of managingcontracts and deliverables for state Flex programsB. Effective Project Management —Focused ConversationDiscuss the importance and relevance of effectiveproject management for state Flex programsC. Communication and Partnerships —Focused Conversation Juniper RoomFacilitated by Kami Norland, MA, CommunitySpecialist, National Rural Health Resource Center 2:10pm—2:40pmDiscuss the importance and relevance ofcommunication and partnerships for state FlexprogramsBallroom ABJohn Gale, MS, Research Associate, Maine Rural HealthResearch Center, University of Southern Maine, FlexMonitoring Team Learn about recent research by the Flex Monitoring Teamon integration of EMS into rural systems of care, includingstate Flex program best practices Learn about activities state Flex programs can implement tointegrate EMSBallroom ABFacilitated by Tracy Morton, MPH, ProgramManager, National Rural Health Resource Center Integration of Emergency Medical Services (EMS)into Rural Systems of CareBlueprint for Critical Access Hospital PerformanceExcellence2:40pm—3:15pmBallroom ABBrock Slabach, MPH, FACHE, Senior Vice President forMember Services, National Rural Health AssociationTerry Hill, MPA, Executive Director, National RuralHealth Resource Center Understand the transformational changes required byhealth reform for CAH financial and quality indicators Learn how the Blueprint for CAH Performance Excellencecan support CAHs in managing these transformationalchanges successfullyConference Wrap Up3:15pm—3:30pmBallroom ABMichael McNeely, MBA, MPH, CPHIT, Deputy Director,Hospital-State Division, Federal Office of Rural HealthPolicyPRESENTATIONS AVAILABLE AT:http://goo.gl/NXZnO
The conference sessions will highlight Cultivating Excellence within the Flex program for continued quality improvement, financial and operational improvement, and health system development. Cultivating Excellence National Conference of State Flex Programs July 23-24, 2013 Bethesda, Maryland DoubleTree Hotel by Hilton Bethesda
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